Dr. Leticia Hernandez, President of the Puerto Rican Society of Endocrinology and Diabetes (SPED), and Dr. José García Mateo, former President of the Puerto Rican Society of Endocrinology and Diabetes. Photo: Journal of Medicine and Public Health. Fabiola Plaza.
Dr. Leticia Hernandez, President of the Puerto Rican Society of Endocrinology and Diabetes (SPED), and Dr. José García Mateo, former President of the Puerto Rican Society of Endocrinology and Diabetes, reveal aspects of medicine and public health Necessary for timely diagnosis for thyroid disease.
“In Puerto Rico, we’ve had a fairly high prevalence of thyroid disease, and that’s about 20 percent accounting for hypothyroidism, hyperthyroidism, Thyroid nodule conditions and thyroid cancer, so it is a condition that can occur in a number of people and it is important that they can recognize those symptoms that may indicate that the patient is suffering and start treatment and follow-up in a timely manner,” said Dr. Hernandez.
The current head of SPED said that whatever the thyroid problem is, early diagnosis will lead to accurate treatment and we will prevent complications in these patients. If thyroid conditions are treated early and appropriately according to their aetiology, we will be successful. Even thyroid cancer, we now have tools to treat these patients with excellent results.
These conditions are completely Common in elderly women Reproductive health, the prevalence when comparing men to women is 6 to 1, higher in women. Now, with age, some changes occur there, TCH levels increase, which increases the likelihood of finding men with the disease at these ages.
An important thing to stress is that thyroid evaluation is not what we call a screening test, but rather that we evaluate patients and identify symptoms. In the case of hyperthyroidism and hypothyroidism, what we do is lab tests, HCT tests, and in the case of a patient where we suspect hypothyroidism, then we can confirm with a free T4 test, to determine if he really has hypothyroidism Thyroid.
In the case of hyperthyroidism, we make the hormones free of T4 and T3 and can be synthesized Studies such as a thyroid scan or an uptake test to determine the cause of hyperthyroidism.
Dr. García Mateo emphasized that there are patients with other diseases who may have thyroid symptoms and “that’s why we have to be intuitive and know the symptoms, and what set of symptoms need testing. Another problem is that a person has a test that reaches a high TCH, and it really comes With a prescription or taking pills, here the important thing is to customize the diagnosis because in postmenopausal women over 65 years of age, this can be counterproductive for these patients in cardiovascular and bone health.”
In the case of hypothyroidism, Dr. Hernandez noted that patients experience symptoms such as weight gain between 5 and 10 pounds, “I would point out that hypothyroidism does not cause obesity. The patient may develop fatigue, depression, constipation, brittle hair and nails. Any hair that breaks It falls due to a slowed heartbeat and lower body temperature. In the case of women, menstrual periods are heavier. These are symptoms that can indicate that a person has hypothyroidism.”
In the case of hyperthyroidism, symptoms are weight loss, heart palpitations, tremors, increased frequency of bathroom use, and decreased fertility and libido, the latter in both men and women.
“Medicine, no matter how many clinical advances we have, history and physical examination are the most important thing in a medical evaluation.” Many times with examinations, hence the problems and the person suffering is the patient, who has no associated symptoms, but arrives with high results or Low, because if you treat the patient based on tests only, but the doctor has to rely on the clinical and family history and on the physical assessment,” García Mateo concluded.
This small gland plays a very important role in your health. The hormones produced by the thyroid gland affect your heart rate, metabolism, and other aspects of your health.
Sometimes the thyroid gland produces too much or too little thyroid hormone (thyroxine) that keeps the body working normally.
Hyperthyroidism – occurs when the thyroid gland produces too much thyroid hormone.
Hypothyroidism – occurs when the thyroid gland does not produce enough thyroid hormone.